Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.55 / $269.55 / $269.55	Facility		$242.55	$269.55	$269.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.67 / $66.67 / $70.00	Professional		$66.67	$66.67	$70.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $66.67 / $67.34 / $94.16	Facility		$66.67	$67.34	$94.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $258.81 / $258.81 / $258.81	Professional		$258.81	$258.81	$258.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.16 / $88.72 / $132.97	Professional		$70.16	$88.72	$132.97